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Title

Who's in Charge? A Review of Participant Direction in Long-Term Care

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Use of Health Services; Elderly

Publication Type

Journal Article

Publication Date

2016-08-02T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=167&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=167&RootFolder=*">Kathryn G. Kietzman, PhD, MSW</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=522&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=522&RootFolder=*">A.E. Benjamin, PhD</a>

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Abstract

In recent years, the provision of long-term care in the United States has continued its movement from what was once a predominantly institutionally based system of care to one in which recipients can increasingly receive a range of both medical and supportive services at home and in the community. As the availability of home and community-based services (HCBS) grows, so does interest in consumer- or participant-directed models of service delivery.

In this article, authors trace the evolution of participant-directed care in HCBS in the United States and review recent trends in demand and availability. We then discuss current debates about the value of participant direction and the impact of two significant economic and policy events of the past decade: the Great Recession of 2007–2009 and the Affordable Care Act (ACA) of 2010.

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Journal Article: Who's in Charge? A Review of Participant Direction in Long-Term Care

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Version: 1.0
Created at 11/9/2016 9:46 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/9/2016 10:31 AM by i:0#.f|uclachissqlmembershipprovider|celeste